Compositions for enhancing magnetic resonance imaging

ABSTRACT

Substantially nontoxic manganese or gadolinium complexes of compounds of the formula: ##STR1## wherein n and m=1, 2, 3 or 4, y=1, 2 or 3, and x is selected from the group consisting of S, CHOH and CHSH, are useful for enhancing magnetic resonance images of body organs and tissues. Illustrative manganese and gadolinium complexes of such compounds include disodium [[(2-hydroxytrimethylene)dinitrilo]tetraaceto]manganese(II) and sodium [[(2-hydroxytrimethylene)dinitrilo]tetraaceto)gadolinium(III).

This is a continuation of application Ser. No. 402,503, filed Sep. 5, 1989, abandoned, itself a continuation of application Ser. No. 06/698,895, filed Feb. 6, 1985, U.S. Pat. No. 4,980,148.

BACKGROUND OF THE INVENTION

This invention relates to magnetic resonance imaging (MRI), also referred to as nuclear magnetic resonance (NMR) imaging, and more particularly, to methods and compositions for enhancing magnetic resonance images of body organs and tissues.

The recently developed techniques of MRI or NMR imaging encompasses the detection of certain atomic nuclei utilizing magnetic fields and radio-frequency radiation. It is similar in some respects to x-ray computed tomography (CT) in providing a cross-sectional display of the body organ anatomy with excellent resolution of soft tissue detail. In current use, the images produced constitute a map of the distribution density of protons and/or their relaxation times in organs and tissues. The MRI technique is advantageously non-invasive as it avoids the use of ionizing radiation.

While the phenomenon of NMR was discovered in 1945, it is only relatively recently that it has found application as a means of mapping the internal structure of the body as a result of the original suggestion of Lauterbur (Nature, 242, 190-191, 1973). The lack of any known hazard associated with the level of the magnetic and radio-frequency fields that are employed renders it possible to make repeated scans on vulnerable individuals. Additionally, any scan plane can readily be selected including transverse, coronal, and sagittal sections.

In an NMR experiment, the nuclei under study in a sample (e.g. protons) are irradiated with the appropriate radio-frequency (RF) energy in a highly uniform magnetic field. These nuclei as they relax subsequently emit RF radiation at a sharp resonant frequency. The emitted frequency (RF) of the nuclei depends on the applied magnetic field.

According to known principles, nuclei with appropriate spin when placed in an applied magnetic field [B, expressed generally in units of gauss or tesla (10⁴ gauss)] align in the direction of the field. In the case of protons, these nuclei precess at a frequency f=42.6 MHz at a field strength of 1 Tesla. At this frequency, an RF pulse of radiation will excite the nuclei and can be considered to tip the nuclei out of the field direction, the extent of this rotation being determined by the pulse duration and energy. After the RF pulse, the nuclei "relax" or return to equilibrium with the magnetic field,. emitting radiation at the resonant frequency. The decay of the signal is characterized by two relaxation times, i.e., T₁, the spin-lattice relaxation time or longitudinal relaxation time, that is, time taken by the nuclei to return to equilibrium along the direction of the externally applied magnetic field, and T₂, the spin-spin relaxation time associated with the dephasing of the initially coherent precession of individual proton spins. These relaxation times have been established for various fluids, organs and tissues in different species of mammals.

In MRI, scanning planes and slice thickness can be selected without loss of resolution. This permits high quality transverse, coronal and sagittal images to be obtained directly. The absence of any moving parts in MRI equipment promotes a high reliability. It is believed that MRI or NMR imaging has a greater potential than CT for the selective examination of tissue characteristics in view of the fact that in CT, x-ray attenuation coefficients alone determine image contrast whereas at least four separate variables (T₁, T₂, nuclear spin density and flow) may contribute to the NMR signal. For example, it has been shown (Damadian, Science, 171, 1151, 1971) that the values of the T₁ and T₂ relaxation in tissues are generally longer by about a factor of 2 in excised specimens of neoplastic tissue compared with the host tissue.

By reason of its sensitivity to subtle physio-chemical differences between organs and/or tissues, it is believed that MRI may be capable of differentiating tissue types and in detecting diseases which induce physio-chemical changes that may not be detected by x-ray or CT which are only sensitive to differences in the electron density of tissue. The images obtainable by MRI techniques also enable the physician to detect structures smaller than those detectable by CT and thereby provide comparable or better spatial resolution.

Continuing efforts are being made to develop imaging agents for enhancing the images obtained through the use of MRI techniques.

SUMMARY OF THE INVENTION

Among the several objects of the invention may be noted the provision of novel compositions for enhancing magnetic resonance images of body organs and tissues; the provision of such compositions which contain substantially nontoxic manganese or gadolinium complexes of certain tetraacetic acid ligands, and the provision of methods for enhancing magnetic resonance images of body organs and tissues through the administration of such compositions. Other objects and features will be in part apparent and in part pointed out hereinafter.

Briefly, the invention is directed to compositions for enhancing magnetic resonance images of body organs and tissues, the composition comprising a substantially nontoxic manganese or gadolinium complex of a compound of the formula: ##STR2## wherein n and m=1, 2, 3 or 4, y=1, 2 or 3, and X is selected from the group consisting of O, S, CHOH and CHSH. The invention is also directed to methods for enhancing magnetic resonance images of body organs and tissues by administering such compositions to a mammal in sufficient amounts to provide enhancement of magnetic resonance images of the body organs and tissues.

DESCRIPTION OF THE PREFERRED EMBODIMENTS

In accordance with the present invention, it has now been found that magnetic resonance images of body organs and tissues may be usefully enhanced through the administration to a mammal of a substantially nontoxic manganese or gadolinium complex of a compound of the formula: ##STR3## wherein n and m=1, 2, 3 or 4, y=1, 2 or 3 and X is selected from the group consisting of O, S, CHOH and CHSH.

Both manganese and gadolinium are paramagnetic elements capable of altering or enhancing magnetic resonance images, e.e. they are capable of altering the magnetic resonance signal characteristics of body tissues, organs or fluids and thus aid in differentiating normal from diseased tissue. Administered as free ionic salts (e.g. chlorides), they may also exhibit some target organ specificity (e.g. liver). However, such paramagnetic salts or compounds may undesirably exhibit significant toxicity.

It has been found, in accordance with the present invention, that manganese or gadolinium complexes of the above-noted ligands are relatively or substantially nontoxic and are therefore useful for enhancing magnetic resonance images by favorably altering relaxation times T₁ and T₂ and thereby affording improved contrast between normal and diseased tissue or organs. The complexes of the invention are complexes of manganese or gadolinium and an alkali metal such as sodium or potassium with the aforementioned ligands, the resulting complexes involving a multicoordinate tie-up of the manganese or gadolinium and alkali metal ions. In the above-noted formula, where X is O, the ligand contains an ether linkage between the four carboxylic acid groups, where X is S, the ligand contains a thioether linkage between the four carboxylic acid groups, where X is CHOH, the ligand contains a hydroxymethine linkage between the four carboxylic acid groups and where X is CHSH, the ligand contains a mercaptomethine linkage between the four carboxylic acid groups.

Illustrative manganese and gadolinium complexes of the above-noted class of ligands which may be used in carrying out the invention include disodium [[ethylenebis(oxyethylenenitrilo)]tetraaceto]manganese(II), disodium [[(2-hydroxytrimethylene)dinitrilo]tetraaceto]manganese(II), sodium ]](2-hydroxytrimethylene)dinitrilo]tetraacetato]gadolinium(III), disodium [[trimethylenebis(thioethylenenitrilo)]tetraaceto]manganese(II), sodium [[ethylenebis(oxypropylenenitrilo)]tetraaceto]gadolinium(III), sodium [[(2-mercaptotrimethylene)dinitrilo]tetraacetato]gadolinium(III), and disodium [[2-hydroxytetramethylene)dinitrilo]tetraacetato]manganese(II). Complexes of compounds of the aforementioned formula wherein n and m=1 or 2 and y=1 are preferred. The complexes of the invention may be in the form of hydrates.

As shown by the toxicity studies set forth hereinafter, a representative member of the class of complexes herein contemplated, namely, sodium [[(2-hydroxytrimethylene)dinitrilo]tetraacetato]gadolinium(III), possesses a favorable intravenous toxicity profile. Further, another member of the class, namely, disodium [ethylenebis(oxyethylenenitrilo)]tetraaceto]manganese(II) dramatically reduces T₁ and T₂ relaxation times of the kidney, liver, spleen, pancreas and gastrointestinal tract.

The substantially nontoxic manganese and gadolinium complexes of the present invention are administered to a mammal in a sufficient amount to provide enhancement of magnetic resonance images of body organs and tissues prior to obtaining a magnetic resonance scan or scans of such organs and tissues with "slices" being taken at the level of the desired organ at various time periods post-administration.

The following examples illustrate the practice of the invention.

EXAMPLE 1 Preparation of Disodium [[(2-Hydxytrimethylene)dinitrilo]tetraacetato]manganese(II) Hydrate

In a 3 L round-bottom flask equipped with a mechanical stirrer was added manganese chloride (64.20 g) and deionized water (600 mL). To the flask was added a solution of sodium hydroxide (40.07 g) and [(2-hydroxytrimethylene)dinitrilo]tetraacetic acid (161.16 g) in 400 mL volume. The reaction mixture which was initially a beige-pink solution became a pink suspension approximately 10 minutes after the reactants were combined. The reaction was treated with NaHCO₃ to effect the formation of the disodium salt, and the pH adjusted from approximately 2.5 to 6. The resultant brown solution was filtered, the product precipitated out with ethyl alcohol (3.6 L) and the solids collected by fil- tration. The solids were air dried over the weekend. The solid (236 g) was dissolved in water (1 L) and recrystallized from ethyl alcohol, dried overnight in a forced air oven at 60° C. and weighed 138.2 g.

The results of elemental analysis were as follows: calculated for Na₂ [Mn(C₁₁ H₁₄ N₂ O₉)].1.5H₂ O: C, 29.60; H, 3.83; N, 6.28; Na, 10.30; Mn, 12.31. Found: C, 29.58; H, 3.73; N, 6.26; Na, 10.18; Mn, 12.34.

The solubility of the complex as the hydrate in water was determined to be approximately 40% w/v. The relaxation parameter T₁ of a 10⁻³ M solution of the complex in a 90 MHz NMR experiment was determined to be 0.59±0.001 sec.

EXAMPLE 2 Preparation of Disodium [[Ethylenebis(oxyethylene-nitrilo)]tetraaceto]manganese(II) Hydrate

A 2 L 3-neck, round-bottom flask was fitted with a mechanical stirrer, thermometer and nitrogen inlet. To the reaction flask was added water (205 mL), [ethylenebis(oxyethylenenitrilo)]tetraacetic acid (190.20 g), manganese carbonate (57.47 g) and an additional amount of water (250 mL). The reaction was heated to 70°-75° C. and kept at 70°-75° C. for two hours under nitrogen. The suspension cooled to room temperature and was stirred over the weekend. The tan thick suspension was diluted with deionized water (100 mL) and to the suspension was added NaHCO₃ (84.01 g). The pH was 7 and the reaction mixture was filtered and treated with washed activated carbon (10 g). The carbon was filtered off and the solution had air drawn across it at room temperature to reduce the volume of solvent. The product precipitated out and was collected in a Buchner funnel on #4 Whatman paper. The material air dried overnight (160 g). The solid (pale yellow-off white in color) was dried in a forced air oven at 60° C. for six hours. The material weighed 140 g. The material was redissolved in water, filtered through a 0.45 Millipore filter and recrystallized.

The results of elemental analysis were as follows: calculated for C₁₄ H₂₀ N₂ O₁₀ MnNa₂.5H₂ O: C, 29.64; H, 5.33; N, 4.94; Mn, 9.68; Na, 8.10. Found: C, 29.48; H, 5.45; N, 4.86; Mn, 9.74; Na, 8.10.

The solubility of the complex as the hydrate in water was determined to be 100% w/v. The relaxation parameters T₁ and T₂ of a 10⁻³ M solution of the complex in a 90 MHz NMR experiment were determined to be 0.16 sec. and 0.50 sec., respectively.

EXAMPLE 3 Preparation of Sodium [[(2-Hydroxytrimethylene)dinitrilo]tetraacetato]gadolinium(III)

A mixture of [(2-hydroxytrimethylene)dinitrilo]tetraacetic acid (8.057 g, 0.025 mol) and sodium hydroxide (1.00 g, 0.025 mol) in water (200 mL) was heated to reflux. Gadolinium oxide (4.531 g, 0.0125 mol) was added and water (50 mL) was used to complete the transfer. The mixture was heated at 80° C. for one hour during which time the solution became homogeneous. Heating at 60° C. was continued overnight. The solvent was removed under reduced pressure to give the solid complex which was formulated as follows:

Excess ligand (15%) was added as the calcium salt (from ligand, 1.208 g and calcium hydroxide, 0.278 g). The material was then taken up in water for injection (20 mL) and the pH was adjusted to 7.0 with 10% sodium hydroxide. The volume of the solution was adjusted to 50 mL with water for injection and the solution was passed through a 0.2μ Millipore filter.

The free metal content of the formulation was found to be <0.01% (weight free metal/weight complex). A 1.0×10⁻³ M aqueous solution of the complex had T₁ and T₂ values of 257 msec and 132 msec, respectively.

EXAMPLE 4 Acute Intravenous Toxicity Determination of Disodium [[(2-Hydroxytrimethylene)dinitrilo]tetraacetomanganese(II)

A solution (30% w/v; 0.67M) of disodium [[(2-hydroxytrimethylene)dinitrilo]tetraaceto)manganese(II) was used.

Male and female Swiss CF-1 albino mice with a body weight range of 17.5 to 29.8 g were employed. The mice were housed according to standard operating procedures and individually marked with picric acid.

The dose schedule was as follows:

    ______________________________________                                         Dose         Concentration  Number of Mice                                     (mmol metal/kg)                                                                             (mmol metal/mL)                                                                               Male    Female                                     ______________________________________                                         4.0          0.67           1       1                                          2.0          0.112          1       1                                          4.0          0.112          1       1                                          2.0          0.335          2       2                                          3.0          0.335          2       2                                          4.0          0.335          2       2                                          ______________________________________                                    

Measured single doses were injected into the lateral tail vein at a rate of 1 mL/min. The animals were observed immediately after dosing and during the 7-day post-dosing observation period for pharmacotoxic reactions. Recording of terminal body weights and general necropsy of the thoracic and abdominal organs was performed after 7 days.

The LD₅₀ for disodium [[(2-hydroxytrimethylene)dinitrilo]tetraacetato]manganese(II) was determined to be approximately 2.5 mmol/kg. Reactions following dosing included mild to severe hypoactivity and convulsions. The latter preceded death in almost all instances. Necropsies did not reveal any abnormalities. Weight gains were normal.

EXAMPLE 5 Acute Intravenous Toxicity Determination of Disodium [[Ethylenebis(oxyethylenenitrilo)]tetraaceto]-manganese(II)

A solution (40% w/v, 0.84M) of disodium [[ethylenebis(oxyethylenenitrilo)]tetraaceto]manganese(II) was used.

A total of 17 Swiss CF-1 albino mice (9 male, 18.4 g; 8 female, 20.4-20.88 g) were employed for the study. The mice were housed according to standard operating procedures and individually marked with picric acid.

Groups of 1-4 mice, with sexes equally represented, received single intravenous doses of disodium [[ethylenebis(oxyethylenenitrilo)]tetraaceto]manganese(II) according to the following schedule.

    ______________________________________                                                                    Number and Sex                                      Solution Concentration*                                                                      Intravenous Dose                                                                            of Mice                                             % w/v   M         g/kg    mmol/kg                                                                               Male   Female                                 ______________________________________                                          2      0.042     0.250   0.5    2      2                                       2      0.042     0.375   0.75   2      2                                       2      0.042     0.425   0.85   2      2                                      10      0.21      0.5     1.0    1      --                                     10      0.21      1.0     2.0    1      1                                      40      0.84      4.0     8.0    1      1                                      ______________________________________                                          *Dilutions of the 40% solutions were made with Abbott, 0.9% Sodium             Chloride for Injection, U.S.P.                                           

The animals were observed immediately after dosing and during the 7-day observation period for pharmacotoxic reactions. Recording of terminal body weights and general necropsy of the thoracic and abdominal organs was performed after 7 days.

The LD₅₀ for disodium [[ethylenebis(oxyethylenenitrilo)]tetraaceto]manganese(II) was determined to be approximately 0.75 mmol/kg (0.375 g/kg) which renders its use in MRI dependent on the minimum doses required or on the use of very low doses. Moderate-to-severe convulsions were observed with all the treated animals. All deaths occurred within one minute after dosing. The surviving mice appeared normal within 5 minutes after treatment. Body weight gains were normal after the seven-day observation period and necropsy showed no abnormalities.

EXAMPLE 6 Acute Intravenous Toxicity Determination of Sodium [[(2-Hydroxytrimethylene)dinitrilo]tetraaceto]-gadolinium(III)

A solution (0.68M with 15% excess ligand as the calcium salt) of sodium [[(2-hydroxytrimethylene)dinitrilo]tetraaceto]gadolinium(III) was used.

Male and female CF-1, SQC strain, albino mice (males, 18.5 to 26.8 g in weight; females, 17.4 to 21.6 g in weight) were used. The mice were housed according to standard operating procedures and individually marked with picric acid.

The mice (2 to 4 per dose level) with sexes equally represented received single intravenous injections at dose levels of 6.8, 10.2 and 13.6 mmol/kg via a lateral tail vein at 1.0 ml/min. The mice were observed immediately after dosing and during the 7-day observation period for pharmacotoxic reactions.

The LD₅₀ for sodium [[(2-hydroxytrimethylene)dinitrilo]tetraaceto]gadolinium(III) was determined to be approximately 10.2 mmol/kg as calculated using a modified Behrens-Reed-Muench method (Drug Chem. Toxicol. 4:297-305, 1981).

Immediate deaths occurred at doses of 10.2 (2 out of 4 mice) and 13.6 (4 out of 4 mice) mmol/kg and were preceded by convulsions. In surviving mice, mild hypoactivity was noted up to 0.5 hours in the 10.2 mmol/kg group while no toxic reactions were noted during any time in those mice injected with 6.8 mmol/kg. All surviving mice appeared normal by one hour post-injection. No delayed deaths occurred. Weight gains were normal, and no abnormalities were observed at necropsy of surviving mice.

EXAMPLE 7 Effect of Disodium [[Ethylenebis(oxyethylenenitrilo)]tetraaceto]manganese(II) on Tissue Proton T₁ and T₂ Relaxation Times

Disodium [[ethylenebis(oxyethylenenitrilo)]tetraaceto]manganese(II) as an 0.84M solution containing 5% molar excess of calcium disodium [ethylenebis(oxyethylonenitrilo)]tetraacetic acid (0.042M) was used in the study. Two rats (one fasted-time period unknown, 410 g; one non-fasted, 290 g) received 5 mL of the complex orally (4.2 mmol of the complex/rat; 10 mmol/kg and 14 mmol/kg, respectively). The rats were killed 30 minutes after injection and tissue T₁ and T₂ proton relaxation times were determined using 5 and 10 mHz RADX proton spin analyzers. The results are summarized in the following Table 1:

                                      TABLE 1                                      __________________________________________________________________________     Tissue Proton T.sub.1 and T.sub.2 Relaxation Times (msec) Determined 30        Minutes After Oral                                                             Administration of 5.0 ml of Complex to Rats                                            Untreated                                                                            10 mmol                                                                               14 mmol                                                                               Untreated                                                                            10 mmol                                                                               14 mmol                               Tissue  Control                                                                              Complex/kg                                                                            Complex/kg                                                                            Control/kg                                                                           Complex/kg                                                                            Complex/kg                            __________________________________________________________________________     5 mHz RADX Determinations                                                      Heart   434   159    294    29    27     31                                    Lung    482   332    425    53    49     47                                    Fat     179   162    158    101   101    97                                    Skeletal Muscle                                                                        405   372    362    32    11     24                                    Renal Cortex                                                                           343    37     99    --    --     21                                    Renal Medulla                                                                          --    --      97    --    --     21                                    Liver   251    17     31    29     7     10                                    Spleen  398    91    316    45    24     33                                    Pancreas                                                                               228    22     77    24     8     24                                    Bladder 453   107    226    30    43     54                                    Stomach 280    13     13    31     3     --                                    Small Intestine                                                                        418   --      10    40    --     --                                    10 mHz RADX Determinations                                                     Large Intestine                                                                        353    37     42     41   14     14                                    Heart   417   137    341    47    39     47                                    Lung    401   299    385    76    77     75                                    Fat     166   172    160    150   146    157                                   Skeletal Muscle                                                                        375   407    399    41    39     33                                    Renal Cortex                                                                           381    36     88    50    19     35                                    Renal Medulla                                                                          --    --      90    --    --     36                                    Liver   227    16     29    44    11     16                                    Spleen  406    82    312    62    30     54                                    Pancreas                                                                               213    22     78    35    15     42                                    Bladder 405   128    199    48    51     71                                    Stomach 240    73     23    46    11      9                                    Small Intestine                                                                        396    62     21    70     2     29                                    Large Intestine                                                                        367    41     31    59    20     19                                    __________________________________________________________________________      .sup.a Control values represent values determined for one untreated rat        using 5 and 10 mHz RADX proton spin analyzers.                           

Although the data is limited to 2 rats and control values are derived from one rat, the results indicate that oral administration of disodium [[ethylenebis(oxyethylenenitrilo)]tetraaceto]manganese(II) dramatically decreased T₁ and T₂ relaxation times, as determined at both the 5 and 10 mHz frequencies, of the kidney, liver, spleen, pancreas and gastrointestinal tract.

In addition, one non-fasted rabbit received 10 mL of the complex orally (8.4 mmol or 3.8 mmol/kg) and was killed 4 hours after dosing. Tissue T₁ and T₂ relaxation times were determined at 5 and 10 mHz. The results determined using the 10 mHz RADX proton spin analyzer are shown in the following Table 2:

                  TABLE 2                                                          ______________________________________                                         Tissue T.sub.1 and T.sub.2 Relaxation Times 4 hours after Oral                 Administration of 10 mL of Complex to Rabbit.sup.a                                        Untreated T.sub.1 4 Hr.                                                                           Untreated                                                                              T.sub.2 4 Hr.                                       Control   After    Control After                                    Tissue     T.sub.1   Complex  T.sub.2 Complex                                  ______________________________________                                         Heart      410       220      57      48                                       Lung       484       402      91      96                                       Fat        139        88      125     103                                      Skeletal Muscle                                                                           352       379      38      37                                       Renal Cortex                                                                              275       167      69      54                                       Renal Medulla                                                                             546       530      121     118                                      Liver      205        72      52      34                                       Spleen     337       389      74      64                                       Pancreas   205       162      70      66                                       Bladder    439       250      72      89                                       Stomach    284        91      56      22                                       Small Intestine                                                                           286        33      64      24                                       Large Intestine                                                                           284       135      63      37                                       ______________________________________                                          .sup.a Tissue T.sub.1 and T.sub.2 relaxation times were determined using       10 mHz RADX proton spin analyzer and are expressed in msec. Control value      were derived from the mean of 18 untreated rabbits. The dose of complex        was 3.8 mmol/kg.   Heart, fat, renal cortex, liver and gastrointestinal        tract T.sub.1 values were substantially reduced compared to untreated      control values. In addition, T.sub.2 values for the gastrointestinal tract      were reduced. Thus, disodium      [[ethylenebis(oxyethylenenitrilo)]tetraaceto]manganese(II) appears to have      potential as an oral agent for MRI enhancement of the liver, pancreas and      gastrointestinal tract.

EXAMPLE 8

The complex of Example 1 was administered intravenously to Sprague Dawley rats and New Zealand white rabbits. It was found that the tissue spin lattice relaxation time (T₁) of the major target organ, the liver, was reduced up to 80%. Tissue T₁ of the heart, pancreas and kidney was also significantly reduced.

Magnetic resonance proton images obtained with the use of a General Electric 0.12T resistive unit or General Electric 1.4T superconducting unit demonstrated enhancement of the liver, heart and kidney following intravenous administration of the complex of Example 1.

In view of the above, it will be seen that the several objects of the invention are achieved and other advantageous results attained.

As various changes could be made in the above compositions and methods without departing from the scope of the invention, it is intended that all matter contained in the above description shall be interpreted as illustrative and not in a limiting sense. 

What is claimed is:
 1. A diagnostic composition for enhancing magnetic resonance images of body organs and tissues, the composition comprising a substantially nontoxic manganese or gadolinium complex of a compound of the formula: ##STR4## wherein n and m=1, 2, 3 or 4, y=1, 2, or 3, and X is selected from the group consisting of S, CHOH, CHSH and a sterile pharmaceutical carrier therefor.
 2. Disodium [[(2-hydroxytrimethylene)dinitrilo]tetraaceto]manganese(II).
 3. Sodium [[(2-hydroxytrimethylene)dinitrilo]tetraaceto]gadolinium(III). 